Active NPI
Andrew Scott Korcal, MD
- Pediatrics Physician
- Gahanna, OH
National Provider Identifier
1487071437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-129376
- Practice address
- 1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563 - Phone
- (614) 741-8300
- Fax
- (614) 741-8271
- NPI assigned
- Mar 26, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-129376 | OH | Primary |
Addresses
Primary practice location
1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563
Mailing address
1085 Beecher Xing N Ste a
Gahanna, OH 43230-4563
Phone (614) 741-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0213075 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151222001408 | OH | Order and Referring Only - Pediatric Medicine | 0345541090 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-129376 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Past | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- akorcal19132@copcp.medicity.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Westerville, OH
- NPI 1518398866
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Single Specialty
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1487071437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 BEECHER XING N STE A",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304563",
"telephone_number": "614-741-8300",
"fax_number": "614-741-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1085 BEECHER XING N STE A",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432304563",
"telephone_number": "614-741-8300",
"fax_number": "614-741-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORCAL",
"first_name": "ANDREW",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-26",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OH",
"license": "35-129376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0213075",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.